GP Network Plan – 2023 Comparisons
GP Network Plan: Are generally designed for younger people entering the medical aid market for the first time or for those clients that have a limited medical aid budget.
The Medical Aid companies typically contract with a group of hospitals and GP’s on a capitation basis and in this way are able to offer medical cover at more affordable rates.
GP Network Plan Members mainly need to work through their GP (the Gatekeeper), regardless of the particular ailment.
With spiralling medical aid inflation, the Network Plans have become far more popular in the last few years.
View our latest 2023 plan updates below.
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4 GP Network Plans Compared2023 Comparisons Made Easy!
Table Of ContentsGP Network Hospital Plans
Click/Tap on the links below to scroll to your table of interest.
Discovery
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
KEYCARE START - NETWORK PLAN |
|||
| Monthly Contributions | |||
| Income p/m | R0 - R10100 * |
R10 101 - R15250 ** |
R15251+ *** |
| Main Member | R1 239 * |
R2 085 ** |
R3 247 *** |
| Spouse/Adult dependent | R1 239 * |
R2 085 ** |
R3 247 *** |
| Child (Max 3) | R755 * |
R817 ** |
R883 *** |
| Benefits | |||
| 100% scheme rate in-hospital. | |||
| Network hospitals, GP's and Specialists to be used. | |||
| Covers 27 chronic diseases: subject to formulary State only. | |||
| Dialysis state only. | |||
| Exclusions on certain procedures apply. | |||
| Oncology ( State hospital) PMB. | |||
| MRI/CT scans: unlimited if part of hospital procedure. | |||
| MRI/CT scans: R2650 pp on specialist benefit if out of hospital. | |||
| --- |
Discovery
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
KEYCARE PLUS - NETWORK PLAN |
|||
| Monthly Contributions | |||
| Income p/m | R0 - R9450 * |
R9451 - R15250 ** |
'R15251+ *** |
| Main Member | R1 652 * |
R2 271 ** |
R3 354 *** |
| Spouse/Adult dependent | R1 652 * |
R2 271 ** |
R3 354 *** |
| Child (Max 3) | R601 * |
R640 ** |
R897 *** |
| Benefits | |||
| 100% scheme rate in-hospital. | |||
| Network hospitals, GP's and Specialists to be used. | |||
| Covers 27 chronic diseases: Medication DSP and formulary applies. Members must use a network GP to manage chronic conditions or a co-payment applies. | |||
| Dialysis: full cover through network providers Exclusions on certain procedures apply | |||
| Exclusions on certain procedures apply. | |||
| Oncology: PMB. | |||
| MRI/CT scans: unlimited if part of hospital procedure. | |||
| MRI/CT scans: R2650 pp on specialist benefit if out of hospital. |
Fedhealth
| Column 1 | Column 2 | Column 3 | Column 4 | Column 5 | Column 6 |
|---|---|---|---|---|---|
MY FED - NETWORK PLAN |
|||||
| Monthly Contributions | |||||
| Income p/m | R0 - R6251 * |
R6252 - R8550 ** |
R8551 - R10219 *** |
R10220 - R12622 **** |
R12623 - R14226 ***** |
| Main Member | R1 590 * |
R1 622 ** |
R1 936 *** |
R2 713 **** |
R3 448 ***** |
| Spouse/Adult dependent | R1 590 * |
R1 622 ** |
R1 681 *** |
R2 368 **** |
R2 842 ***** |
| Child (Max 3) | R677 * |
R750 ** |
R946 *** |
R1 041 **** |
R1 347 ***** |
| Benefits | |||||
| 100% scheme rate in-hospital: Network hospitals to be used. | |||||
| Ingwe Hospitals to be used. | |||||
| R14 700 co-payment on voluntary non-network admissions. | |||||
| 7 days take home medicine. | |||||
| Oncology: PMB: Only at DSP. | |||||
| 27 Chronic benefits: subject to scheme formulary, must use DSP. | |||||
| MRI/CT scans: As part of hospital procedure: needs authorisation. | |||||
| GP visits unlimited if at network provider. | |||||
| --- |
Momentum
| Column 1 | Column 2 | Column 3 | Column 4 | Column 5 |
|---|---|---|---|---|
INGWE: NETWORK HOSPITALS |
||||
| Monthly Contributions | ||||
| Income p/m | R826 – R8150 * |
R8151 - R11325 ** |
R11326 - R16100 *** |
'R16101+ **** |
| Main Member | R1 184 * |
R1 507 ** |
R2 069 *** |
R2 970 **** |
| Spouse/Adult dependent | R1 184 * |
R1 507 ** |
R2 069 *** |
R2 670 **** |
| Child (Max 3) | R542 * |
R564 ** |
R609 *** |
R875 **** |
| Benefits | ||||
| 100% scheme rate in-hospital. | ||||
| Ingwe Hospitals to be used. | ||||
| Oncology: State. | ||||
| Renal Dialysis: State. | ||||
| 26 Chronic diseases: subject to scheme formulary: Ingwe Primary Care Network. | ||||
| MRI/CT scans: As part of hospital admission at a state hospital. | ||||
| GP's: must be on the Primary Care Network.. | ||||
| 1 out of network visit per person, 2 visits per family with a R105 co-payment. | ||||
| --- |
Annual Updates
As additional GP Network Plan comparisons are made available, we will continue to update this page. In our effort to provide our clients with the most up to date information and advice on the medical aid industry in South Africa. If you are still deciding which plan type is best suited to your situation, why not take a look at the Medical Aid Plans page to see the full range of plans.
We Are Here To Help
For more detailed information on any of the above GP Network Plan comparisons, simply contact us. If you need help applying, why not make use of our Medical Aid Application Form Help Page, and one of our consultants will contact you to assist. Alternatively, if you would like us to confirm some finer details and pricing, just fill in our free Medical Aid Quote Request form, and we will get back to you promptly.
Finally, we invite you to contact us on +27 21 712 8866 at any point in your decision-making process for further information on these GP Network Plan comparisons.
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